News Releases
| Three Months Ended | Twelve Months Ended | |||||||||||||||
| December 31 | December 31 | |||||||||||||||
| (In millions, except per share results) | ||||||||||||||||
|
2017 |
2016 |
Chg |
2017 |
2016 |
Chg |
|||||||||||
| Net revenue | 34.1% | 20.7% | ||||||||||||||
| Net income | 54.8% | 41.5% | ||||||||||||||
| Segment profit [1] | -3.1% | 3.0% | ||||||||||||||
| Adjusted net income [1] | 51.4% | 32.2% | ||||||||||||||
| Per share results: | ||||||||||||||||
| Earnings per share | 44.7% | 40.1% | ||||||||||||||
| Adjusted earnings per share [1] | 41.7% | 30.7% | ||||||||||||||
| [1] Refer to the Basis of Presentation for a discussion of non-GAAP financial measures. | ||||||||||||||||
Highlights Include:
- Net revenue for the year ended
December 31, 2017 increased 20.7 percent over 2016 to$5.8 billion . - Net income for the year ended
December 31, 2017 increased 41.5 percent over 2016 to$110.2 million . - Segment profit for the year ended
December 31, 2017 increased 3.0 percent over 2016 to$310.9 million . - Adjusted net income for the full year ended
December 31, 2017 increased 32.2 percent over 2016 to$144.8 million . - Unrestricted cash and investments were
$261.2 million as ofDecember 31, 2017 . Approximately$143.9 million of the unrestricted cash and investments related to excess capital and undistributed earnings held at regulated entities. - On
October 31, 2017 , the Company closed on its acquisition ofSenior Whole Health . - As of
January 1, 2018 , the Company completed the rollout in the remaining regions in the Commonwealth Coordinated Care Plus Program inVirginia .
"I am pleased with the execution and progress against our strategic initiatives during 2017. We have made major strides against our stated growth objectives and have repositioned ourselves for long-term sustained growth with our two platforms - healthcare and pharmacy management," said
Net Revenue
Net revenue for the year ended
Segment Profit
Segment profit was
- Healthcare segment profit for the year ended
December 31, 2017 , was$202.7 million , which represents an increase of 3.7 percent over 2016 excluding the impact of the Health Insurer Fee moratorium. This increase was driven by net growth, acquisitions and improved results for Magellan Complete Care ofFlorida , partially offset by start-up costs for Magellan Complete Care ofVirginia and isolated costs pressure in two of our Commercial accounts in early 2017. - Pharmacy segment profit for the year ended
December 31, 2017 , was$139.9 million , which was an increase of 14.0 percent from the 2016. The increase was primarily due to net growth within our PBM business and the full year inclusion of results from the Veridicus acquisition. - Corporate costs, inclusive of eliminations but excluding stock compensation expense, were
$31.8 million for the year endedDecember 31, 2017 , versus$33.9 million for the prior year. This decrease was mainly due to the lower discretionary benefits in 2017.
Cash Flow & Balance Sheet
Cash flow from operations for the year ended
As of
Restricted cash and investments as of
Outlook
The Company revised its 2018 full year guidance, including the impact of the Tax Cuts and Jobs Act.
The Company now estimates net income to be in the range of
The Company now expects fully diluted EPS to be between
"We are updating our 2018 guidance due to the lower corporate tax rate, the corresponding impact on the Health Insurer Fee revenue, and additional investments within our businesses," said
| 2018 Guidance | Current | Prior | ||||||
|
Low |
High |
Low |
High |
|||||
| Net revenue | ||||||||
| Income before income taxes | ||||||||
| Net income | ||||||||
| Segment Profit[1] | ||||||||
| Adjusted net income[1] | ||||||||
| Per share results: | ||||||||
| Earnings per share[2] | ||||||||
| Adjusted earnings per share[1][2] | ||||||||
| [1] Refer to the Basis of Presentation for a discussion of non-GAAP financial measures. |
| [2] 2018 EPS and Adjusted EPS guidance includes share repurchases and option exercises through the close of business |
Earnings Conference Call
Management will discuss the Company's fourth quarter results on a conference call scheduled for
Basis of Presentation
In addition to results determined under Generally Accepted Accounting Principles (GAAP), Magellan provides certain non-GAAP financial measures that management believes are useful in assessing the Company's performance. Following is a description of these important non-GAAP measures.
Segment profit is equal to net revenues less the sum of cost of care, cost of goods sold, direct service costs and other operating expenses, and includes income from unconsolidated subsidiaries, but excludes segment profit or loss from non-controlling interests held by other parties, stock compensation expense, special charges or benefits, as well as changes in the fair value of contingent consideration recorded in relation to acquisitions.
Adjusted net income and adjusted earnings per share reflect certain adjustments made for acquisitions completed after
Included in the tables issued with this press release are the reconciliations from GAAP measures to the corresponding non-GAAP measures.
About Magellan Health
Forward-Looking Statements
This release is intended to be disclosure through methods reasonably designed to provide broad, non-exclusionary distribution to the public in compliance with the Securities and Exchange Commission's Fair Disclosure Regulation. This release contains forward-looking statements within the meaning of the Securities Exchange Act of 1934 and the Securities Act of 1933, as amended, which involve a number of risks and uncertainties, many of which are out of our control. All statements, other than statements of historical information provided herein, may be deemed to be forward-looking statements including, without limitation, statements regarding 2018 guidance for net revenue, income before income taxes, net income, earnings per share, segment profit, adjusted net income, adjusted earnings per share, growth opportunities and strategy. These statements are based on management's analysis, judgment, belief and expectation only as of the date hereof, and are subject to uncertainty and changes in circumstances. Without limiting the foregoing, the words "believes," "anticipates," "plans," "expects," "may," "should," "could," "estimate," "intend" and other similar expressions are intended to identify forward-looking statements. Actual results could differ materially due to, among other things, the possible election of certain of the Company's customers to manage the healthcare services of their members directly; changes in rates paid to and/or by the Company by customers and/or providers; higher utilization of health care services by the Company's risk members; delays, higher costs or inability to implement new business or other Company initiatives; the impact of changes in the contracting model for Medicaid contracts; termination or non-renewal of customer contracts; the impact of new or amended laws or regulations; governmental inquiries; litigation; competition; operational issues; health care reform; and general business conditions. Additional factors that could cause actual results to differ materially from those reflected in the forward-looking statements include, but are not limited to, the risks discussed in the "Risk Factors" section included within the Company's Annual Report on Form 10-K for the year ended
| CONSOLIDATED BALANCE SHEETS | ||||||
| (In thousands) | ||||||
| December 31, 2016 | December 31, 2017 | |||||
| ASSETS | ||||||
| Current Assets: | ||||||
| Cash and cash equivalents | ||||||
| Accounts receivable, net | 606,764 | 660,775 | ||||
| Short-term investments | 297,493 | 310,578 | ||||
| Pharmaceutical inventory | 58,995 | 40,945 | ||||
| Other current assets | 51,507 | 72,323 | ||||
| Total Current Assets | 1,319,267 | 1,483,353 | ||||
| Property and equipment, net | 172,524 | 158,638 | ||||
| Long-term investments | 7,760 | 17,287 | ||||
| Deferred income taxes | 3,125 | 813 | ||||
| Other long-term assets | 12,725 | 22,567 | ||||
| 742,054 | 1,006,288 | |||||
| Other intangible assets, net | 186,232 | 268,288 | ||||
| Total Assets | ||||||
| LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST
AND STOCKHOLDERS' EQUITY |
||||||
| Current Liabilities: | ||||||
| Accounts payable | ||||||
| Accrued liabilities | 202,176 | 193,635 | ||||
| Short-term contingent consideration | 9,354 | 6,892 | ||||
| Medical claims payable | 184,136 | 327,625 | ||||
| Other medical liabilities | 197,856 | 177,002 | ||||
| Current debt and capital lease obligations | 403,693 | 112,849 | ||||
| Total Current Liabilities | 1,092,850 | 892,303 | ||||
| Long-term debt and capital lease obligations | 214,686 | 740,888 | ||||
| Deferred income taxes | - | 12,298 | ||||
| Tax contingencies | 13,981 | 14,226 | ||||
| Long-term contingent consideration | 1,799 | 1,925 | ||||
| Deferred credits and other long-term liabilities | 15,882 | 19,100 | ||||
| Total Liabilities | 1,339,198 | 1,680,740 | ||||
| Redeemable non-controlling interest | 4,770 | - | ||||
| Stockholders' Equity: | ||||||
| Ordinary common stock | 520 | 530 | ||||
| Additional paid-in capital | 1,186,283 | 1,274,811 | ||||
| Retained earnings | 1,289,288 | 1,399,495 | ||||
| Accumulated other comprehensive loss | (175) | (380) | ||||
| Ordinary common stock in treasury, at cost | (1,376,197) | (1,397,962) | ||||
| Total Stockholders' Equity | 1,099,719 | 1,276,494 | ||||
| Total Liabilities, Redeemable Non-Controlling Interest and Stockholders' Equity | ||||||
| CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME | ||||||||||||
| (In thousands, except per share amounts) | ||||||||||||
| Three Months Ended | Years Ended | |||||||||||
| 2016 | 2017 | 2016 | 2017 | |||||||||
| (unaudited) | (unaudited) | |||||||||||
| Net revenue: | ||||||||||||
| Managed care and other | ||||||||||||
| PBM and dispensing | 488,354 | 600,630 | 1,933,942 | 2,359,401 | ||||||||
| Total net revenue | 1,263,385 | 1,694,415 | 4,836,884 | 5,838,583 | ||||||||
| Costs and expenses: | ||||||||||||
| Cost of care | 472,211 | 779,146 | 1,882,614 | 2,413,770 | ||||||||
| Cost of goods sold | 456,658 | 563,240 | 1,818,720 | 2,211,910 | ||||||||
| Direct service costs and other operating expenses (1)(2)(3) | 240,985 | 261,653 | 876,612 | 941,883 | ||||||||
| Depreciation and amortization | 28,574 | 32,810 | 106,046 | 115,706 | ||||||||
| Interest expense | 3,413 | 9,266 | 10,193 | 25,977 | ||||||||
| Interest and other income | (702) | (2,086) | (2,818) | (5,887) | ||||||||
| Total costs and expenses | 1,201,139 | 1,644,029 | 4,691,367 | 5,703,359 | ||||||||
| Income before income taxes | 62,246 | 50,386 | 145,517 | 135,224 | ||||||||
| Provision for income taxes | 26,469 | (4,123) | 69,728 | 25,083 | ||||||||
| Net income | 35,777 | 54,509 | 75,789 | 110,141 | ||||||||
| Less: net income (loss) attributable to non-controlling interest | 602 | - | (2,090) | (66) | ||||||||
| Net income attributable to Magellan | ||||||||||||
| Weighted average number of common shares outstanding — basic | 22,556 | 23,921 | 23,181 | 23,333 | ||||||||
| Weighted average number of common shares outstanding — diluted | 23,493 | 25,113 | 24,156 | 24,440 | ||||||||
| Net income attributable to Magellan per common share — basic | ||||||||||||
| Net income attributable to Magellan per common share — diluted | ||||||||||||
| Net income | ||||||||||||
| Other comprehensive income: | ||||||||||||
| Unrealized (loss) gain on available-for-sale securities (4) | (22) | (232) | 87 | (205) | ||||||||
| Comprehensive income | 35,755 | 54,277 | 75,876 | 109,936 | ||||||||
| Less: comprehensive income (loss) attributable to non-controlling interest | 602 | - | (2,090) | (66) | ||||||||
| Comprehensive income attributable to Magellan | ||||||||||||
| (1) Includes stock compensation expense of |
|
| (2) Includes changes in fair value of contingent consideration of |
|
| (3) Includes impairment of intangible assets of |
|
| (4) Net of income tax (benefit) expense of |
|
| CONSOLIDATED STATEMENTS OF CASH FLOWS | |||||||||
| (In thousands) | |||||||||
| Years Ended | |||||||||
| 2016 | 2017 | ||||||||
| Cash flows from operating activities: | |||||||||
| Net income | |||||||||
| Adjustments to reconcile net income to net cash from operating activities: | |||||||||
| Depreciation and amortization | 106,046 | 115,706 | |||||||
| Non-cash impairment of intangible assets | 4,800 | - | |||||||
| Non-cash interest expense | 565 | 4,757 | |||||||
| Non-cash stock compensation expense | 37,422 | 39,116 | |||||||
| Non-cash income tax provision (benefit) | 4,710 | (30,981) | |||||||
| Non-cash amortization on investments | 5,238 | 3,924 | |||||||
| Changes in assets and liabilities, net of effects from acquisitions of businesses: | |||||||||
| Accounts receivable, net | (134,089) | (40,910) | |||||||
| Pharmaceutical inventory | (8,246) | 17,605 | |||||||
| Other assets | (13,900) | (4,565) | |||||||
| Accounts payable and accrued liabilities | 52,470 | (84,445) | |||||||
| Medical claims payable and other medical liabilities | (8,042) | 26,235 | |||||||
| Contingent consideration | (51,205) | 696 | |||||||
| Tax contingencies | 673 | 1,681 | |||||||
| Deferred credits and other long-term liabilities | (5,584) | 3,218 | |||||||
| Other | 52 | 95 | |||||||
| Net cash provided by operating activities | 66,699 | 162,273 | |||||||
| Cash flows from investing activities: | |||||||||
| Capital expenditures | (60,881) | (57,232) | |||||||
| Acquisitions and investments in businesses, net of cash acquired | (199,237) | (232,403) | |||||||
| Purchase of investments | (478,477) | (449,873) | |||||||
| Maturity of investments | 494,256 | 423,118 | |||||||
| Net cash used in investing activities | (244,339) | (316,390) | |||||||
| Cash flows from financing activities: | |||||||||
| Proceeds from issuance of debt | 375,000 | 1,041,736 | |||||||
| Payments to acquire treasury stock | (106,806) | (21,765) | |||||||
| Proceeds from exercise of stock options and warrants | 25,145 | 44,355 | |||||||
| Payments on debt and capital lease obligations | (20,891) | (803,393) | |||||||
| Payments on contingent consideration | (40,559) | (3,032) | |||||||
| Other | 1,230 | (9,560) | |||||||
| Net cash provided by financing activities | 233,119 | 248,341 | |||||||
| Net increase in cash and cash equivalents | 55,479 | 94,224 | |||||||
| Cash and cash equivalents at beginning of period | 249,029 | 304,508 | |||||||
| Cash and cash equivalents at end of period | |||||||||
| CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT | ||||||||||
| (In thousands) | ||||||||||
| Three Months Ended | Years Ended | |||||||||
| 2016 | 2017 | 2016 | 2017 | |||||||
| (unaudited) | (unaudited) | |||||||||
|
Healthcare |
||||||||||
| Managed care and other revenue | ||||||||||
| Cost of care | (472,211) | (779,146) | (1,882,614) | (2,413,770) | ||||||
| Direct service costs and other | (155,132) | (172,769) | (573,706) | (601,201) | ||||||
| Stock compensation expense (1) | (2,297) | 2,301 | 4,440 | 10,689 | ||||||
| Changes in fair value of contingent consideration (1) | (614) | 1,327 | (231) | 696 | ||||||
| Impairment of intangible assets (1) | - | - | 4,800 | - | ||||||
| Less: non-controlling interest segment profit (loss) (2) | 758 | - | (567) | (56) | ||||||
| Healthcare segment profit | 81,203 | 67,893 | 212,941 | 202,747 | ||||||
|
Pharmacy Management |
||||||||||
| Managed care and other revenue | 62,903 | 77,519 | 243,561 | 273,489 | ||||||
| PBM and dispensing revenue | 517,324 | 634,188 | 2,053,188 | 2,491,044 | ||||||
| Cost of goods sold | (484,387) | (599,369) | (1,933,086) | (2,341,979) | ||||||
| Direct service costs and other | (70,168) | (76,743) | (261,570) | (302,525) | ||||||
| Stock compensation expense (1) | 4,171 | 2,787 | 20,509 | 19,881 | ||||||
| Changes in fair value of contingent consideration (1) | - | - | 127 | - | ||||||
| Pharmacy Management segment profit | 29,843 | 38,382 | 122,729 | 139,910 | ||||||
|
Corporate and Elimination (3) |
||||||||||
| Managed care and other revenue | (87) | 86 | (304) | (584) | ||||||
| PBM and dispensing revenue | (28,970) | (33,558) | (119,246) | (131,643) | ||||||
| Cost of goods sold | 27,729 | 36,129 | 114,366 | 130,069 | ||||||
| Direct service costs and other | (15,685) | (12,141) | (41,336) | (38,157) | ||||||
| Stock compensation expense (1) | 7,975 | 2,194 | 12,473 | 8,546 | ||||||
| Less: non-controlling interest segment profit (loss) (2) | (154) | - | (170) | (3) | ||||||
| Corporate and Elimination | (8,884) | (7,290) | (33,877) | (31,766) | ||||||
|
Consolidated |
||||||||||
| Managed care and other revenue | 775,031 | 1,093,785 | 2,902,942 | 3,479,182 | ||||||
| PBM and dispensing revenue | 488,354 | 600,630 | 1,933,942 | 2,359,401 | ||||||
| Cost of care | (472,211) | (779,146) | (1,882,614) | (2,413,770) | ||||||
| Cost of goods sold | (456,658) | (563,240) | (1,818,720) | (2,211,910) | ||||||
| Direct service costs and other | (240,985) | (261,653) | (876,612) | (941,883) | ||||||
| Stock compensation expense (1) | 9,849 | 7,282 | 37,422 | 39,116 | ||||||
| Changes in fair value of contingent consideration (1) | (614) | 1,327 | (104) | 696 | ||||||
| Impairment of intangible assets (1) | - | - | 4,800 | - | ||||||
| Less: non-controlling interest segment profit (loss) (2) | 604 | - | (737) | (59) | ||||||
| Consolidated segment profit | ||||||||||
| Reconciliation of income before income taxes to segment profit: | ||||||||||
| Income before income taxes | ||||||||||
| Stock compensation expense | 9,849 | 7,282 | 37,422 | 39,116 | ||||||
| Changes in fair value of contingent consideration | (614) | 1,327 | (104) | 696 | ||||||
| Impairment of intangible assets | - | - | 4,800 | - | ||||||
| Non-controlling interest segment (profit) loss | (604) | - | 737 | 59 | ||||||
| Depreciation and amortization | 28,574 | 32,810 | 106,046 | 115,706 | ||||||
| Interest expense | 3,413 | 9,266 | 10,193 | 25,977 | ||||||
| Interest and other income | (702) | (2,086) | (2,818) | (5,887) | ||||||
| Segment profit | ||||||||||
| (1) Stock compensation expense, changes in the fair value of contingent consideration recorded in relation to acquisitions and impairment of intangible assets are included in direct service costs and other operating expenses; however, these amounts are excluded from the computation of segment profit. | |
| (2) The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of segment profit. | |
| (3) Healthcare subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain of Healthcare's customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company's employees covered under its medical plan. As such, revenue, cost of goods sold and direct service costs and other related to these arrangements are eliminated. | |
| NON-GAAP MEASURES | ||||||||||||
| (In thousands, except per share amounts) | ||||||||||||
| Three Months Ended | Years Ended | |||||||||||
| 2016 | 2017 | 2016 | 2017 | |||||||||
| (unaudited) | (unaudited) | |||||||||||
| Net income attributable to Magellan | ||||||||||||
| Adjusted for acquisitions starting in 2013 | ||||||||||||
| Stock compensation expense relating to acquisitions | 4,964 | 1,497 | 19,181 | 16,215 | ||||||||
| Changes in fair value of contingent consideration | (614) | 1,327 | (104) | 696 | ||||||||
| Amortization of acquired intangibles | 7,386 | 12,076 | 25,324 | 37,265 | ||||||||
| Impairment of intangible assets, net of non-controlling interest | - | - | 3,936 | - | ||||||||
| Tax impact | (4,473) | (5,186) | (16,676) | (19,558) | ||||||||
| Adjusted net income | ||||||||||||
| Net income per common share attributable to Magellan —diluted | ||||||||||||
| Adjusted for acquisitions starting in 2013 | ||||||||||||
| Stock compensation expense relating to acquisitions | 0.21 | 0.05 | 0.79 | 0.66 | ||||||||
| Changes in fair value of contingent consideration | (0.03) | 0.06 | - | 0.03 | ||||||||
| Amortization of acquired intangibles | 0.31 | 0.48 | 1.05 | 1.52 | ||||||||
| Impairment of intangible assets, net of non-controlling interest | - | - | 0.16 | - | ||||||||
| Tax impact | (0.19) | (0.21) | (0.69) | (0.80) | ||||||||
| Adjusted earnings per share | ||||||||||||
| FISCAL 2018 GUIDANCE | |||||||||||
| (In millions, except per share amounts) | |||||||||||
| PREVIOUS GUIDANCE | CURRENT GUIDANCE | ||||||||||
| Low | High | Low | High | ||||||||
| Net revenue | |||||||||||
| Income before income taxes | 215.0 | 255.0 | 186.0 | 224.0 | |||||||
| Net income | 114.0 | 138.0 | 125.0 | 149.0 | |||||||
| Segment profit (1) | 414.0 | 436.0 | 390.0 | 410.0 | |||||||
| Adjusted net income (1) | 143.0 | 163.0 | 163.0 | 183.0 | |||||||
| Per share results: | |||||||||||
| Earnings per share (2) | 4.52 | 5.48 | 4.88 | 5.82 | |||||||
| Adjusted earnings per share (1)(2) | 5.68 | 6.47 | 6.37 | 7.15 | |||||||
| (1) Refer to the Reconciliation of GAAP to Non-GAAP measures table. | |||||||||||
| (2) Based on average fully diluted shares of 25.2 million and 25.6 million for previous guidance and current guidance, respectively. | |||||||||||
| FISCAL 2018 GUIDANCE | |||||||||||||
| RECONCILIATION OF GAAP TO NON-GAAP MEASURES | |||||||||||||
| (In millions, except per share amounts) | |||||||||||||
| PREVIOUS GUIDANCE | CURRENT GUIDANCE | ||||||||||||
| Low | High | Low | High | ||||||||||
| Net income attributable to Magellan | |||||||||||||
| Adjusted for acquisitions starting in 2013 | |||||||||||||
| Stock compensation expense relating to acquisitions | 1.0 | 1.0 | 1.0 | 1.0 | |||||||||
| Amortization of acquired intangibles | 46.0 | 40.0 | 51.0 | 45.0 | |||||||||
| Tax impact | (18.0) | (16.0) | (14.0) | (12.0) | |||||||||
| Adjusted net income | |||||||||||||
| Net income per common share attributable to Magellan —Diluted | |||||||||||||
| Adjusted for acquisitions starting in 2013 | |||||||||||||
| Stock compensation expense relating to acquisitions | 0.04 | 0.04 | 0.04 | 0.04 | |||||||||
| Amortization of acquired intangibles | 1.83 | 1.59 | 1.99 | 1.76 | |||||||||
| Tax impact | (0.71) | (0.64) | (0.54) | (0.47) | |||||||||
| Adjusted earnings per share | |||||||||||||
| Reconciliation of income before income taxes to segment profit: | |||||||||||||
| Income before income taxes | |||||||||||||
| Stock compensation expense | 34.0 | 30.0 | 34.0 | 30.0 | |||||||||
| Depreciation and amortization | 132.0 | 122.0 | 137.0 | 127.0 | |||||||||
| Interest expense | 37.0 | 33.0 | 37.0 | 33.0 | |||||||||
| Interest income | (4.0) | (4.0) | (4.0) | (4.0) | |||||||||
| Segment profit | |||||||||||||
(MGLN-GEN)
View source version on businesswire.com: http://www.businesswire.com/news/home/20180227005684/en/
Magellan Health, Inc.
Media:
kdurocher@magellanhealth.com
or
Investors:
jbogdan@magellanhealth.com
Source:
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